�ERMIT
<br /> CI�Y QF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: - -Y""`'�'�=`:F"
<br /> Crystal Bay, Minnesota 55323 �.'i ;�w,:-:t���
<br /> (612) 473-7357 Date Issued: _
<br /> :�_;:�
<br /> SITE ADDRESS:
<br /> . .'t_' r�`'=._�;�`•F:I `°i; y"
<br /> tr .
<br /> — _ _ _ ' 3e
<br /> DESCRIPTION:
<br /> _. _, ,.:_, _ _..,,__ _ _ .�- � - _ _�
<br /> ,_ ;-� r�`. _ _;;vf..:�i.., �i_i;v��'.� �'l=-it'-.t_ _.. . .. ��•;,W;}��'; '=it_i41'I�� I?�_.�.�
<br /> '. E_�. ._ _..
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> �Y�i"f�....t✓i'�T } S_ilRj `�.7,4,F .�`..I'_I
<br /> ���=t=+ I^�c� ��.`=�_. , '•[_.' FT;:,'-�T[,_ ��,: -.�:.� �-.,��
<br /> W=L�Ei'F..�';�.i.}''�:' —_�,___._ — �:�! � t�t�.;:li j—;=,r, ��_._..�_.����t-� �',t_�
<br /> �?.jiFj�.3 i t._',� ^'.��.''�i�{.�W:_i
<br /> CONTRACTOR: -- . ��:�i j c:n�Et. -- OWNER:
<br /> - ... ... �. .___. _. _ _ _ .. .._._ : -- " _ . . _:. . t�.::i��;:r
<br /> --- - .`:E_i�!.i:r-:;') r;`y+'.= _ , .'iJ `;�t';:_;'1!;`y i.;'; i::
<br /> _ f�€''S - "•a � ._ ...._._ t�-,_'•`',�; t `::�. _ _ _
<br /> ... _. . _._ _. . .___.,..� _
<br /> i �'%='L �_{�.v_ ,:.,. ._.,�t I`.�.. . »_�.. .}_,F_? � :.__ `''L'.�.�.�_ - _ _ _ . . ��_i . .. ._.. �t" �. y�":_:.`-�;.. 'r,. �i ;,.t'��;`1' i -
<br /> �•" -^'`w`�:.� 1';f,�.
<br /> ._..... .._.,_. . , _"+,� ,
<br /> - - � T'' " -;!'.i1.' :-�t-+!�i- - - -�_I - �E-.- �;t;-`i .�:�<<:��; i a; j i�' �t�-
<br /> .: ---. -: � ._.
<br /> • .:�': � u_, , . __; ,
<br /> .
<br /> : � ;;
<br /> ._„ , �.s: ��.:.� r.. • � � , i :..;_ r�'._.L._ .. _, .. . _. _. . . ._ .. . _ _. .. ...__ ._ __ . _ . . . . ..__._ _ _. i `i' .:
<br /> .�.. ..___.�_ _ ...
<br /> .. .. _ __ _, ._ _.�. .
<br /> � ..,`._.. r.'s _ :_;i f.. .. .��-.:-: �.°:'„t i '-� ;r�!r-. s_' �_` __ .. . . . ?' _ —_—=�;�i,,:;; _ i_ — —. !�. .`?`_ � t .�_,�!:_.: . . _ . �
<br /> AP LICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE /�i�%�
<br />
|